Individual
COLLEEN PETRANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-0500
(602) 933-4320
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
(505) 268-8021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-32535
AZ
2251P0200X
Pediatric Physical Therapist
5081
NM
Other
Enumeration date
08/03/2017
Last updated
08/15/2023
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